The coronavirus disease 2019 pandemic stressed healthcare systems worldwide and exposed major flaws in military and civilian healthcare systems. Landstuhl Regional Medical Center (LRMC) serves as the only military medical center for over 205,000 U.S. service members, beneficiaries, and coalition partners stationed throughout Europe, Africa, and the Middle East. The pandemic response required LRMC leaders to reconfigure services to meet pandemic concerns while providing lifesaving care to injured service members from combatant commands. The quickly evolving pandemic challenged leaders to ensure healthcare delivery amid constant change and imperfect information. While LRMC senior leaders developed a strategic pandemic response plan, a multidisciplinary team of nurses, doctors, and technicians collaborated to create an inpatient team to support the dual mission of coronavirus disease 2019 response and casualty care for the warfighter. In this manuscript, we discuss how a multidisciplinary clinical working group at a regional medical center prepared and responded to the pandemic, strategically planned patient care, and ensured support to combatant commands for ongoing forward military operations. Additionally, we share our experiences and lessons learned to inform other military facilities across the medical community and global healthcare systems.

中文翻译：

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COVID-19 期间的护理领导：在地区军事医疗中心领导住院治疗

2019 年冠状病毒病大流行给全球医疗保健系统带来了压力，并暴露了军事和民用医疗保健系统的重大缺陷。Landstuhl 地区医疗中心 (LRMC) 作为唯一的军事医疗中心，服务于遍布欧洲、非洲和中东的超过 205,000 名美国军人、受益者和联盟伙伴。应对大流行病要求 LRMC 领导人重新配置服务以满足大流行问题，同时为战斗指挥部受伤的服役人员提供救生护理。迅速发展的大流行对领导者提出了挑战，以确保在不断变化和不完善的信息中提供医疗保健。虽然 LRMC 高级领导人制定了战略性大流行应对计划，但由护士、医生、和技术人员合作创建了一个住院团队，以支持 2019 年冠状病毒病应对和作战人员伤亡护理的双重使命。在这份手稿中，我们讨论了一个地区医疗中心的多学科临床工作组如何准备和应对这一流行病，战略性地规划患者护理，并确保为正在进行的前沿军事行动提供对作战司令部的支持。此外，我们分享我们的经验和教训，为医学界和全球医疗保健系统的其他军事设施提供信息。并确保支持作战司令部进行持续的前沿军事行动。此外，我们分享我们的经验和教训，为医学界和全球医疗保健系统的其他军事设施提供信息。并确保支持作战司令部进行持续的前沿军事行动。此外，我们分享我们的经验和教训，为医学界和全球医疗保健系统的其他军事设施提供信息。